Peroral endoscopic myotomy in a 4-year-old patient

J 2024

Peroral endoscopic myotomy in a 4-year-old patient

HRUNKA, Matěj; Jan MARTÍNEK; Jiří TŮMA; Lucie DOHNALOVÁ; Petr JABANDŽIEV et al.

Základní údaje

Originální název

Peroral endoscopic myotomy in a 4-year-old patient

Název česky

Perorální endoskopická myotomie u čtyřletého pacienta

Autoři

HRUNKA, Matěj ; Jan MARTÍNEK; Jiří TŮMA; Lucie DOHNALOVÁ a Petr JABANDŽIEV

Vydání

Gastroenterologie a hepatologie, Praha, Czech Medical Association J.E. Purkyne, 2024, 1804-7874

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30209 Paediatrics

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/24:00138360

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.48095/ccgh2024471

EID Scopus

2-s2.0-85213887672

Klíčová slova anglicky

POEM; achalasia; peroral endoscopic myotomy; pediatric; endoluminal impedance planimetry

Štítky

rivok

Příznaky

Recenzováno

Změněno: 24. 2. 2025 14:54, Mgr. Tereza Miškechová

Anotace

V originále

Peroral endoscopic myotomy (POEM) is a legitimate method for treating esophageal achalasia. It has been used in the Czech Republic since 2012. In the adult patient population, use of this method is already quite widespread. In pediatrics, however, our experience with the procedure is still limited. In this case report, we present on the case of what is, according to our best knowledge, the youngest Czech child with esophageal achalasia who, at just under 4 years of age, successfully underwent POEM. Prior to treatment, the child was often sick and failing to thrive, suffering from chronic cough and recurrent vomiting. Thanks to this minimally invasive method, the child can now fully develop her growth potential without the limiting symptoms of esophageal achalasia. Due to the patient’s age, it was not possible to perform standard high-resolution esophageal manometry. The diagnosis was finally confirmed by innovative endoluminal impedance planimetry, called functional luminal imaging probe (FLIP) topography, which we performed perioperatively. Our patient’s case confirms that POEM can be considered an alternative equivalent to laparoscopic or classical myotomy in pediatrics. In the hands of an experienced endoscopist, it is a safe and effective procedure.

Citovat

HRUNKA, Matěj; Jan MARTÍNEK; Jiří TŮMA; Lucie DOHNALOVÁ a Petr JABANDŽIEV. Peroral endoscopic myotomy in a 4-year-old patient. Gastroenterologie a hepatologie. Praha: Czech Medical Association J.E. Purkyne, 2024, roč. 78, č. 6, s. 471-474. ISSN 1804-7874. Dostupné z: https://doi.org/10.48095/ccgh2024471.

@article{2466101,
   author = {Hrunka, Matěj and Martínek, Jan and Tůma, Jiří and Dohnalová, Lucie and Jabandžiev, Petr},
   article_location = {Praha},
   article_number = {6},
   doi = {https://doi.org/10.48095/ccgh2024471},
   keywords = {POEM; achalasia; peroral endoscopic myotomy; pediatric; endoluminal impedance planimetry},
   language = {eng},
   issn = {1804-7874},
   journal = {Gastroenterologie a hepatologie},
   title = {Peroral endoscopic myotomy in a 4-year-old patient},
   url = {https://www.csgh.cz/en/article/peroral-endoscopic-myotomy-in-a-4-year-old-patient-11592},
   volume = {78},
   year = {2024}
}

TY  - JOUR
ID  - 2466101
AU  - Hrunka, Matěj - Martínek, Jan - Tůma, Jiří - Dohnalová, Lucie - Jabandžiev, Petr
PY  - 2024
TI  - Peroral endoscopic myotomy in a 4-year-old patient
JF  - Gastroenterologie a hepatologie
VL  - 78
IS  - 6
SP  - 471-474
EP  - 471-474
PB  - Czech Medical Association J.E. Purkyne
SN  - 18047874
KW  - POEM
KW  - achalasia
KW  - peroral endoscopic myotomy
KW  - pediatric
KW  - endoluminal impedance planimetry
UR  - https://www.csgh.cz/en/article/peroral-endoscopic-myotomy-in-a-4-year-old-patient-11592
N2  - Peroral endoscopic myotomy (POEM) is a legitimate method for treating esophageal achalasia. It has been used in the Czech Republic since 2012. In the adult patient population, use of this method is already quite widespread. In pediatrics, however, our experience with the procedure is still limited. In this case report, we present on the case of what is, according to our best knowledge, the youngest Czech child with esophageal achalasia who, at just under 4 years of age, successfully underwent POEM. Prior to treatment, the child was often sick and failing to thrive, suffering from chronic cough and recurrent vomiting. Thanks to this minimally invasive method, the child can now fully develop her growth potential without the limiting symptoms of esophageal achalasia. Due to the patient’s age, it was not possible to perform standard high-resolution esophageal manometry. The diagnosis was finally confirmed by innovative endoluminal impedance planimetry, called functional luminal imaging probe (FLIP) topography, which we performed perioperatively. Our patient’s case confirms that POEM can be considered an alternative equivalent to laparoscopic or classical myotomy in pediatrics. In the hands of an experienced endoscopist, it is a safe and effective procedure.
ER  -

HRUNKA, Matěj; Jan MARTÍNEK; Jiří TŮMA; Lucie DOHNALOVÁ a Petr JABANDŽIEV. Peroral endoscopic myotomy in a 4-year-old patient. \textit{Gastroenterologie a hepatologie}. Praha: Czech Medical Association J.E. Purkyne, 2024, roč.~78, č.~6, s.~471-474. ISSN~1804-7874. Dostupné z: https://doi.org/10.48095/ccgh2024471.

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